PSYCHIATRIC INTERVIEW OF PATIENTS WITH CANCER
https://doi.org/10.21294/1814-4861-2019-18-4-85-91
Abstract
Background. Psychiatrists providing consultation in cancer centers need to understand the patient’s mental health without possibility of collecting data on the objective case history and follow-up.
Purpose: to analyze the modern methods of assessment of psychopathological disorders in cancer patients.
Material and Methods. Publications indexed in PubMed and devoted to the analysis of defense mechanisms, strategies for overcoming challenges, responses to acute and chronic stress, and support for family members of cancer patients were analyzed.
Results. Modified psychosomatic interviews used for cancer patients, attachment styles, coping strategies, and defense mechanisms were described. The taxonomic system of the most common mental disorders in modern psycho-oncology was presented.
Conclusion. The modified psychiatric interview, during which the defense mechanisms, coping styles, coping reactions with acute and chronic stress, methods of functioning of cancer patient’s family are assessed, allows a psychiatrist to obtain essential information about psychopathological status of a patient within the first (and often the only) appointment. A multidimensional diagnostic approach helps to assess the involvement of various damaging factors in a patient’s current mental status. Conclusion made by a psychiatrist in terms of the taxonomic systems of the International Statistical Classification of Diseases and Health Related Problems (ICD) or the Diagnostic and Statistical Manual of Mental Disorders (DSM) allows him to provide information to an oncologist in a uniquely interpretable (standardized) form.
About the Authors
Yu. N. Zubkova
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
MD, Psychiatrist of the Department of Functional Diagnostics and Hospital Therapy of the Intensive Care Unit, Functional Diagnosis and Rehabilitation,
24, Kashirskoye shosse, 115478-Moscow
I. A. Kurmukov
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, the intensive care unit of the intensive care unit, functional diagnostics and rehabilitation,
24, Kashirskoye shosse, 115478-Moscow
O. A. Obukhova
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, Head of the Rehabilitation Department of the Intensive Care Unit, Functional Diagnostics and Rehabilitation,
24, Kashirskoye shosse, 115478-Moscow
Sh. R. Kashia
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, Head of the Department of Intensive Therapy, Functional Diagnostics and Rehabilitation,
24, Kashirskoye shosse, 115478-Moscow
References
1. Groves M.S., Muskin P.R. Psychological responses to illness. The American Psychiatric Publishing textbook of psychosomatic medicine: psychiatric care of the medically III. Washington, DC: American Psychiatric Press; 2011. 45–67.
2. Spencer S.M., Carver C.S., Price A.A. Psychological and social factors in adaptation. Psycho-oncology. New York: Oxford University Press. 1998. 211–54.
3. Maunder R.G., Hunter J.J. Assessing patterns of adult attachment in medical patients. Gen Hosp Psychiatry. 2009 Mar-Apr; 31(2): 123–30. doi: 10.1016/j.genhosppsych.2008.10.007.
4. Maunder R.G., Hunter J.J. A prototype-based model of adult attachment for clinicians. Psychodyn Psychiatry. 2012 Dec; 40(4): 549–73. doi: 10.1521/pdps.2012.40.4.549.
5. Bowlby J. Attachment and loss. Vol.1: Atachment. New York: Basic Books, 1969. 150.
6. Bowlby J. Attachment and loss. Vol. 2: Separation. New York: Basic Books, 1973. 251.
7. Bowlby J. Attachment and loss. Vol. 3: Loss, sadness and depression. New York: Basic Books, 1980. 320.
8. Bartholomew K., Horowitz L.M. Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol. 1991 Aug; 61(2): 226–44.
9. Maunder R.G., Hunter J.J. Attachment and psychosomatic medicine: Developmental contributions to stress and disease. Psychosom Med. 2001 Jul-Aug; 63(4): 556–67.
10. Tan A., Zimmermann C., Rodin G. Interpersonal processes in palliative care: an attachment perspective on the patient_/clinicians relationship. Palliat. Med. 2005; 19: 143–50. doi: 10.1191/0269216305pm994oa.
11. Greer S., Watson M. Mental adjustment to cancer: its measurement and prognostic importance. Cancer Surv. 1987; 6(3): 439–53.
12. De Vries A.M., Forni V., Voellinger R., Stiefel F. Alexithymia in cancer patients: review of the literature. Psychother Psychosom. 2012; 81(2): 79–86. doi: 10.1159/000330888.
13. Mols F., Thong M.S., van de Poll-Franse L.V., Roukema J.A., Denollet J. Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors. J Affect Disord. 2012 Jan; 136(1–2): 26–34. doi: 10.1016/j.jad.2011.08.034.
14. Lumley M.A., Neely L.C., Burger A.J. The assessment of alexithymia in medical settings: implications for understanding and treating health problem. J Pers Assess. 2007; 89(3): 230–46. doi: 10.1080/00223890701629698.
15. Mols F., Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and workrelated problems. Health Qual Life Outcomes. 2010 Jan 23; 8: 9. doi: 10.1186/1477-7525-8-9.
16. Zozulya A.A., Gabaeva M.V., Sokolov O.Y., Surkina I.D., Kost N.V. Personality, coping style, and constitutional neuroimmunology. J Immunotoxicol. 2008 Apr; 5(2): 221–5. doi: 10.1080/15476910802131444.
17. Bagby R.M., Parker J.D., Taylor G.J. Reassessing the validity and reliability of the MMPI Alexithymia Scale. J Pers Assess. 1991 Apr; 56(2): 238–53. doi: 10.1207/s15327752jpa5602_5.
18. William F.P. Screening Instruments. Psycho-Oncology. A quick reference on the psychosocial dimensions of cancer symptom management. 2nd edition. New York: Oxford University Press. 2015.
Review
For citations:
Zubkova Yu.N., Kurmukov I.A., Obukhova O.A., Kashia Sh.R. PSYCHIATRIC INTERVIEW OF PATIENTS WITH CANCER. Siberian journal of oncology. 2019;18(4):85-91. (In Russ.) https://doi.org/10.21294/1814-4861-2019-18-4-85-91
Views:
943
Email this article 
